| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 000018064 |
| Releasing officer: | 002613 |
| Comments: | A/T HASS W/G STEWART OTN/117864423 |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000430091 |
| Arrest date: | Apr 21, 2004 |
| Arrest location: | WINDY HILL RD |
| Booking date: | Apr 21, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 21, 2004 |
| Warrant: | 724773 |
| Type: | MU |
| Section: | 40-5-121 |
| Offense date: | Apr 21, 2004 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $500 |
| Warrant date: | Apr 21, 2004 |
| Warrant: | 724774 |
| Type: | MU |
| Section: | 40-6-10 |
| Offense date: | Apr 21, 2004 |
| Description: | NO PROOF INSURANCE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |
| Warrant date: | Apr 21, 2004 |
| Warrant: | 724775 |
| Type: | MU |
| Section: | 40-2-8 |
| Offense date: | Apr 21, 2004 |
| Description: | NO TAG |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant date: | Apr 21, 2004 |
| Warrant: | 705790 |
| Type: | MU |
| Section: | 40-6-48 |
| Offense date: | Apr 21, 2004 |
| Description: | IMPROPER LN CHANGE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
